Individual
TAMARA SUE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4273 CORPORATE WAY, MT PLEASANT, MI 48858-1082
(989) 953-4357
Mailing address
6230 S CURTIS RD, MT PLEASANT, MI 48858-9524
(989) 584-0909
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703104604
MI
Other
Enumeration date
02/08/2025
Last updated
02/10/2025
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